NPI | 1508000969 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD LOUIS BEAUDETTE President 203-288-4905 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: CT 001292) |
Enumeration Date | 2009-04-28 |
Last Update Date | 2009-04-28 |